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精神疾病的污名化:约旦护理专业学生和注册护士中人口统计学及文化相关性的比较研究

Stigma of mental illness: a comparative study of demographic and cultural correlates among nursing students and registered nurses in Jordan.

作者信息

Rayan Ahmad

机构信息

Faculty of Nursing, Zarqa University, P.O.Box 132222 *, Zarqa, 13132, Jordan.

出版信息

BMC Nurs. 2024 Dec 19;23(1):924. doi: 10.1186/s12912-024-02616-2.

Abstract

PURPOSE

This study aims to compare the stigma associated with mental illness between nursing students and registered nurses in Jordan and identify the influence of sociodemographic factors and cultural misconceptions on mental illness stigma.

DESIGN

This research employed a comparative, cross-sectional design. Data were gathered through an online self-administered questionnaire. The survey included information about demographic characteristics, mental illness stigma, and cultural misconceptions about mental illness.

SETTINGS

Government mental health facilities and private universities in Jordan.

PARTICIPANTS

The study was completed by 233 nursing students and 157 registered nurses.

RESULTS

Nursing students exhibited significantly higher mean stigma scores (M = 47.84, SD = 7.67) than registered nurses (M = 40.70, SD = 11.82), P < 0.001. This stigma varies significantly based on gender (P = 0.018), history of psychiatric treatment (P < 0.001), and educational progression among nursing students (P < 0.001). Additionally, registered nurses with advanced academic qualifications, such as a master's degree, reported lower levels of stigma (P = 0.013). The results also indicated that participants who hold stigmatizing cultural beliefs, such as seeing mental illness as a divine punishment or attributing it to supernatural forces, tend to exhibit significantly higher stigma scores in both groups.

CONCLUSION

Nursing curricula should address stigma and cultural misunderstandings about mental illness. In-service training for registered nurses is essential to correct misconceptions and promote culturally competent mental healthcare.

摘要

目的

本研究旨在比较约旦护理专业学生和注册护士对精神疾病的污名化情况,并确定社会人口学因素和文化误解对精神疾病污名化的影响。

设计

本研究采用比较性横断面设计。通过在线自填问卷收集数据。该调查包括有关人口统计学特征、精神疾病污名化以及对精神疾病的文化误解的信息。

地点

约旦的政府精神卫生设施和私立大学。

参与者

233名护理专业学生和157名注册护士完成了本研究。

结果

护理专业学生的平均污名得分(M = 47.84,SD = 7.67)显著高于注册护士(M = 40.70,SD = 11.82),P < 0.001。这种污名化因性别(P = 0.018)、精神科治疗史(P < 0.001)以及护理专业学生的教育进程(P < 0.001)而有显著差异。此外,拥有硕士学位等高级学历的注册护士报告的污名化水平较低(P = 0.013)。结果还表明,持有污名化文化观念的参与者,如将精神疾病视为神的惩罚或将其归因于超自然力量,在两组中往往表现出显著更高的污名得分。

结论

护理课程应解决对精神疾病的污名化和文化误解问题。对注册护士的在职培训对于纠正误解和促进具有文化胜任力的精神卫生保健至关重要。

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